TY  - JOUR
T1  - A Rare Entity in Emergency Department: Trapdoor Fracture
AU  - Baykan, Necmi
AU  - Kuş, Baycan
AU  - Salt, Ömer
AU  - Koyuncu, Serhat
AU  - Akan, Ayşe Şule
PY  - 2023
DA  - December
Y2  - 2023
DO  - 10.33706/jemcr.1383140
JF  - Journal of Emergency Medicine Case Reports
PB  - Acil Tıp Uzmanları Derneği
WT  - DergiPark
SN  - 2149-9934
SP  - 96
EP  - 97
VL  - 14
IS  - 4
LA  - en
AB  - Trapdoor fracture also known as, ‘White-eyed blowout fracture’’ is generally seen among pediatric patients with orbital floor blowout fracture. It is presented as ‘’open door fracture’’ in adults because of the mineralized, fragile orbital bones. An 11-year-old boy was admitted to the emergency department (ED) because of falling and hitting his on the occipital region. His main complaint was diplopia. He did not have nausea or pain. No visible lesion detected on his head. When the orbital CT scan was examined carefully, a fracture of the right orbital floor and herniation of orbital soft tissue was noticed. The patient was transferred to the plastic surgery department for surgical intervention. Even though there is no direct trauma, or visible pathology around orbital region, emergency physiscians should keep in mind trapdoor fracture, especially in pediatric patients with head trauma.
KW  - Diplopia
KW  - Emergency Medicine
KW  - Trapdoor Fracture
KW  - Trauma
CR  - 1)  Stotland MA, Do KD. Pediatric orbital fractures. J Craniofac Surg 2011;22:1230-35.
CR  - 2)  Wei LA, Durairaj VD. Pediatric orbital floor fractures. J AAPOS 2011;15:173-80.
CR  - 3) Jordan DR, Allen LH, White J, Harvey J, Pashby R, Esmaeli B. Intervention within days for some orbital floor fractures: the white-eyed blowout. Ophthal Plast Reconstr Surg 1998;14:379 90.
CR  - 4) Kwon JH, Moon JH, Kwon MS, Cho JH. The differences of blowout fracture of the inferior orbital wall between children and adults. Arch Otolaryngol Head Neck Surg 2005;131:723-7.
CR  - 5) Phan LT, Jordan Piluek W, McCulley TJ. Orbital trapdoor fractures. Saudi J Ophthalmol 2012;26:277-82.
CR  - 6) Baek SH, Lee EY. Clinical analysis of internal orbital fractures in children. Korean J Ophthalmol 2003;17:44-9.
CR  - 7) Atanu B, Meenakshi S, Bipasha M. Orbital fractures in children: clinical features and management outcomes. J AAPOS 2018;1.e1–1.e7
CR  - 8) Wei LA, Durairaj VD. Pediatric orbital floor fractures. J Aapos 2011;15:173–80.
CR  - 9) Gerbino G, Roccia F, Bianchi FA, Zavattero E. Surgical management of orbital trapdoor fracture in a pediatric population. J Oral Maxillofac Surg 2010;68:1310–6.
CR  - 10) Grant JH, Patrinely JR, Weiss AH, Kierney PC, Gruss JS. Trapdoor fracture of the orbit in a pediatric population. Plast Reconstr Surg 2002;109:482–9.
UR  - https://doi.org/10.33706/jemcr.1383140
L1  - https://dergipark.org.tr/tr/download/article-file/3504566
ER  -